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Care Coordination After Hospital Discharge, Complex

New Mexico rates for HCPCS 99496

This service covers the coordination and management of a patient's care during the weeks following a hospital stay, for cases involving more complex medical decision-making. It includes a face-to-face visit soon after discharge along with ongoing coordination such as medication review and communication with other providers. It's meant to help prevent complications or readmission during a vulnerable transition period.

Rates data updated July 2026.

How much does Care Coordination After Hospital Discharge, Complex cost?

$229

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$178 to $295
FacilityA hospital or hospital-owned outpatient department$234$178 to $309

How much rates vary

Facilitymedian $234 · 10th to 90th $145 to $537Professionalmedian $229 · 10th to 90th $151 to $447
$100$1K$10Kfacility $234professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$251.19
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$446.68
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$58.88
Median
$398.11
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$501.19
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$436.52

Where New Mexico sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 25th of 51

$229

MN $389DE $186

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.